Patient Access Specialist

The Nemours Foundation•Jacksonville, FL

3d•Onsite

About The Position

Nemours is seeking a Patient Access Specialist I (Full-Time), to join our team in Jacksonville, Florida. The Patient Access Specialist I is responsible for providing exemplary service in accordance with Nemours Standards of Behaviors and performs registration functions accurately. Meets or exceeds collection standard by timely verification of insurance benefits and determines financial responsibility by creating a good faith estimate when applicable. Meets or exceeds accuracy standard goals by verifying and updating demographics, insurance information, PCP and/or referral physician, pharmacy of preference when required for each encounter. Explains all essential and legal forms for each service type and collects any patient responsibility or outstanding balance at the time of service. Ensures all financial assessments, eligibility, and benefits are accurate. Collects all patient responsibility amount due for services rendered, adheres to end of day business processing standard verifying cash analysis and receipts balances. Properly identifies patients, accurately updates demographics information, and secures the required forms to ensure compliance with regulatory and NCH policies. Registers bedside admissions utilizing the workstation on wheels or downtime process when necessary or performs pre-registration workflow when assigned. Understands HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties. Resolves all patient accounts subject to departmental standards including clearing the various Workqueues, as assigned, to ensure accuracy. Ability to cross cover registration functions to support the Patient Financial Services department as needed. Practices and displays Nemours’ Standards of Behavior while adhering to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments in a clear and respectful manner. Completes all mandatory training and education in a timely manner, as well as participate in huddles and/or department meetings as scheduled. Meets attendance requirements, and maintains schedule flexibility, as required. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime. Check in/check out patients in a timely manner. Schedule appointments according to office scheduling policies. All other duties as assigned by supervisor or manager.

Requirements

High School Diploma required.
Specialized training (1 year beyond high school).
Minimum three (3) months of experience required.
Must have Medical Office or Call Center experience.

Nice To Haves

Customer Service experience
Healthcare experience
Bilingual (English/Spanish)
EPIC experience

Responsibilities

Performs registration functions accurately.
Verifies insurance benefits and determines financial responsibility.
Creates a good faith estimate when applicable.
Verifies and updates demographics, insurance information, PCP and/or referral physician, and pharmacy of preference.
Explains essential and legal forms for each service type.
Collects patient responsibility or outstanding balance at the time of service.
Ensures financial assessments, eligibility, and benefits are accurate.
Collects all patient responsibility amounts due for services rendered.
Adheres to end-of-day business processing standards, verifying cash analysis and receipts.
Identifies patients, updates demographics, and secures required forms for compliance.
Registers bedside admissions or performs pre-registration workflow.
Understands HIPAA privacy rules and uses discretion with confidential patient information.
Resolves patient accounts by clearing assigned Workqueues.
Cross-covers registration functions for Patient Financial Services as needed.
Practices and displays Nemours’ Standards of Behavior.
Adheres to all rules and regulations of applicable agencies and accrediting bodies.
Maintains a close working relationship with clinical partners for open communication.
Completes all mandatory training and education.
Participates in huddles and/or department meetings.
Meets attendance requirements and maintains schedule flexibility.
Exhibits effective time management skills and limits unauthorized overtime.
Checks in/checks out patients in a timely manner.
Schedules appointments according to office scheduling policies.
Performs other duties as assigned by supervisor or manager.